Individual
MICHAEL KUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3470 CENTENNIAL BLVD, SUITE 205, COLORADO SPRINGS, CO 80907-4090
(719) 598-4588
(719) 594-4067
Mailing address
3470 CENTENNIAL BLVD, SUITE 205, COLORADO SPRINGS, CO 80907-4090
(719) 598-4588
(719) 594-4067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35973
CO
2080P0208X
Pediatric Infectious Diseases Physician
35973
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359736
—
CO
Enumeration date
05/18/2006
Last updated
05/05/2010
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